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Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery
Objective: Evidence regarding the clinical significance of a single sporadic variable deceleration (SSD) in reactive non-stress test (NST) is scarce, and optimal management has yet to be established. We aim to evaluate whether SSD during a reactive NST at term is associated with a higher risk for fe...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219338/ https://www.ncbi.nlm.nih.gov/pubmed/37240493 http://dx.doi.org/10.3390/jcm12103387 |
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author | Weinberger, Hila Nekave, Shlomit Hallak, Mordechai Naeh, Amir Gabbay-Benziv, Rinat |
author_facet | Weinberger, Hila Nekave, Shlomit Hallak, Mordechai Naeh, Amir Gabbay-Benziv, Rinat |
author_sort | Weinberger, Hila |
collection | PubMed |
description | Objective: Evidence regarding the clinical significance of a single sporadic variable deceleration (SSD) in reactive non-stress test (NST) is scarce, and optimal management has yet to be established. We aim to evaluate whether SSD during a reactive NST at term is associated with a higher risk for fetal heart rate decelerations during labor and the need for intervention. Methods: This was a retrospective, case-control study of singleton term pregnancies at one university-affiliated medical center in 2018. The study group consisted of all pregnancies with an SSD in an otherwise reactive NST. For each case, two consecutive pregnancies without SSD were matched in a 1:2 ratio. The primary outcome was the rate of cesarean delivery (CD) due to non-reassuring fetal heart rate monitoring (NRFHRM). Results: 84 women with an SSD were compared to 168 controls. SSD during antenatal fetal surveillance did not increase the rate of CD overall or for NRFHRM (17.9% vs. 13.7% and 10.7% vs. 7.7%, respectively, p > 0.05). Rates of assisted deliveries and maternal and neonatal complications were similar between the groups. Conclusions: SSD during a reactive NST in term pregnancies is not associated with an increased risk for adverse perinatal outcomes. SSD should not necessarily require induction of labor, and expectant management is a reasonable alternative. |
format | Online Article Text |
id | pubmed-10219338 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102193382023-05-27 Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery Weinberger, Hila Nekave, Shlomit Hallak, Mordechai Naeh, Amir Gabbay-Benziv, Rinat J Clin Med Brief Report Objective: Evidence regarding the clinical significance of a single sporadic variable deceleration (SSD) in reactive non-stress test (NST) is scarce, and optimal management has yet to be established. We aim to evaluate whether SSD during a reactive NST at term is associated with a higher risk for fetal heart rate decelerations during labor and the need for intervention. Methods: This was a retrospective, case-control study of singleton term pregnancies at one university-affiliated medical center in 2018. The study group consisted of all pregnancies with an SSD in an otherwise reactive NST. For each case, two consecutive pregnancies without SSD were matched in a 1:2 ratio. The primary outcome was the rate of cesarean delivery (CD) due to non-reassuring fetal heart rate monitoring (NRFHRM). Results: 84 women with an SSD were compared to 168 controls. SSD during antenatal fetal surveillance did not increase the rate of CD overall or for NRFHRM (17.9% vs. 13.7% and 10.7% vs. 7.7%, respectively, p > 0.05). Rates of assisted deliveries and maternal and neonatal complications were similar between the groups. Conclusions: SSD during a reactive NST in term pregnancies is not associated with an increased risk for adverse perinatal outcomes. SSD should not necessarily require induction of labor, and expectant management is a reasonable alternative. MDPI 2023-05-10 /pmc/articles/PMC10219338/ /pubmed/37240493 http://dx.doi.org/10.3390/jcm12103387 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Brief Report Weinberger, Hila Nekave, Shlomit Hallak, Mordechai Naeh, Amir Gabbay-Benziv, Rinat Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery |
title | Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery |
title_full | Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery |
title_fullStr | Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery |
title_full_unstemmed | Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery |
title_short | Single Sporadic Deceleration during Reactive Nonstress Test—Clinical Significance and Risk for Cesarean Delivery |
title_sort | single sporadic deceleration during reactive nonstress test—clinical significance and risk for cesarean delivery |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219338/ https://www.ncbi.nlm.nih.gov/pubmed/37240493 http://dx.doi.org/10.3390/jcm12103387 |
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